DR. ADRIANA GUARDIOLA (OD) – Optometrist, NPI 1669213195

DR. ADRIANA GUARDIOLA (OD) is a healthcare provider. based in Fort worth, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 11122 (TX). The NPI Number for DR. ADRIANA GUARDIOLA (OD) is 1669213195

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADRIANA GUARDIOLA (OD)
NPI
1669213195
Phone
Not provided
Address
1201 SUMMIT AVE
Enumeration Date
6 June 2024
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173415609
Graduation Year
2024 (2 years ago)
PAC ID
4486197951
Group Practice PAC ID
4587578364
Professional Enrollment ID
I20240625002406
Address ID
TX760866525WE804XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. ADRIANA GUARDIOLA (OD)

  • 1201 SUMMIT AVE

    FORT WORTH, TX 761024413

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240625002406IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587578364View full group profile
NameSpecialtyState
-TX
-TX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
Internal MedicineTX

Reviews

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Frequently asked questions

What is the registry number for DR. ADRIANA GUARDIOLA (OD)?
The registry entry for DR. ADRIANA GUARDIOLA (OD) shows NPI 1669213195.
Does the public listing show DR. ADRIANA GUARDIOLA (OD) as active?
DR. ADRIANA GUARDIOLA (OD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. ADRIANA GUARDIOLA (OD)?
NPPES ties DR. ADRIANA GUARDIOLA (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ADRIANA GUARDIOLA (OD) in Fort Worth, Texas?
For routing, start with Fort Worth, Texas for DR. ADRIANA GUARDIOLA (OD), then verify phone and hours locally.
Why is information missing for DR. ADRIANA GUARDIOLA (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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